NPIMap

Organization Active NPI

Performance Health Modulus

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1063735751
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3991 Issued in OH
Legal business name
PERFORMANCE HEALTH MODULUS
Practice address
5650 N Hamilton Rd
Columbus, OH 43230-1324
Phone
(614) 426-3851
Fax
(614) 633-1046
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tremaine E Young, D.C.
Title
Owner / Provider
Phone
(614) 426-3851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3991 OH Primary

Addresses

Primary practice location

5650 N Hamilton Rd
Columbus, OH 43230-1324

Mailing address

5650 N Hamilton Rd
Columbus, OH 43230-1324
Phone (614) 426-3851

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1063735751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301324",
            "telephone_number": "614-426-3851",
            "fax_number": "614-633-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301324",
            "telephone_number": "614-426-3851",
            "fax_number": "614-633-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE HEALTH MODULUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TREMAINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "614-426-3851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.